Prolonged Field Care Podcast

Prolonged Field Care Podcast: ETCO2 Deep Dive

Jul 25, 2025
Al Strong, a government clinical manager with Massimo and a former paramedic, dives deep into the EMMA device for monitoring end-tidal CO2. He discusses its crucial calibration for accuracy and the insights gleaned from understanding waveforms. Al emphasizes the importance of training for effective use in emergencies and troubleshooting common issues like circuit leaks. The conversation highlights the device's applications in both civilian and military settings, showcasing its value in assessing patient responsiveness and ensuring safe transport.
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ANECDOTE

Manufacturer Also Had To Learn The Off Switch

  • Al admitted he couldn't figure out how to power the EMMA at first because he didn't read the manual.
  • He later learned the simple off sequence and battery-saving technique.
ANECDOTE

Bad Mask Seal In The Bag Is Common

  • Dennis shared seeing terrible mask seals from collapsed non-rebreathers and bearded patients producing misleading ETCO2.
  • They discussed quick fixes like gel, Tegaderm, or wax strips to improve the seal in the field.
ADVICE

Leave EMMA On For Continuous Airway Monitoring

  • Leave the EMMA on patients for continuous monitoring when possible to catch accidental extubation or airway dislodgement.
  • If transport or tube weight risks dislodgement, secure the tube and consider removal only when necessary.
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